CN203898752U - Clinical enteral nutrition temperature control device - Google Patents

Clinical enteral nutrition temperature control device Download PDF

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Publication number
CN203898752U
CN203898752U CN201420238168.1U CN201420238168U CN203898752U CN 203898752 U CN203898752 U CN 203898752U CN 201420238168 U CN201420238168 U CN 201420238168U CN 203898752 U CN203898752 U CN 203898752U
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China
Prior art keywords
heating
temperature
bag
tube
solution
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Withdrawn - After Issue
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CN201420238168.1U
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Chinese (zh)
Inventor
沈敏
周烨
刘小青
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SHANGHAI PUTUO DISTRICT PEOPLE'S HOSPITAL
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SHANGHAI PUTUO DISTRICT PEOPLE'S HOSPITAL
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  • Medical Preparation Storing Or Oral Administration Devices (AREA)

Abstract

The utility model discloses a clinical enteral nutrition temperature control device. Nutrient solutions inside a nutrient solution bag and an infusion tube are heated by a heating bag and a heating tube, temperature of the nutrient solutions inside the bag and the tube are measured through a first temperature sensor and a second temperature sensor, temperature of the heating bag of the heating tube is controlled through an automatic temperature controller according to measured actual temperature, then temperature of the nutrient solutions inside the bag always keeps between 22 to 24 DEG C, nutrient solution metamorphosis is avoided, the temperature of the nutrient solutions passing through a nose achieves 39 DEG C, and accordingly the temperature of enteral nutrition solution passing through the nose of a patient is always the required clinical temperature under the condition that nutritional ingredients are guaranteed not being damaged, the patient is comfort during treatment, untoward effects are reduced, and patient uptake of the enteral nutrition solution is improved.

Description

The clinical enteral nutrition attemperating unit of using
Technical field
This utility model relates to intestinal nutrient solution temperature control technology, more particularly, relates to a kind of clinical enteral nutrition attemperating unit of using.
Background technology
Enteral nutrition (enteral nutrition, EN) be that nasal feeding tube is inserted to stomach or enteral through a side nasal cavity, oral cavity or Gastroenteritic mouth etc., in managing, splash into elemental diet or liquid diet, to ensure that patient can take in the clinical treatment method of enough protein and heat.Because old people tissue repairing ability reduces, rear gastrointestinal peristalsis corresponding prolongation recovery time of postoperative or damage, therefore, the gerontal patient that the acute stage of being in hospital is carried out enteral nutrition support gets more and more.Studies have reported that enteral nutrition gastrointestinal reaction is relevant with the temperature of nutritional solution, particularly for compatriots' body constitution, do not heat or temperature is too low in the situation that at nutritional solution, the words of direct infusion, easily cause the complication such as patient's abdominal distention, stomachache, nausea and vomiting and diarrhoea, if excess Temperature, not only can cause inefficacy to nutritional solution, also can impact various enzymatic activitys in intestinal.Therefore, need to carry out rationally the temperature of nutritional solution before infusion, effectively control, to reach best infusion temperature.
At present, existing a kind of enteral nutrition mode of heating is the transfusion heater in patients undergoing that adopts the automatic temp limit that the patent No. is ZL94243716.0 clinically, as shown in Figure 1, clamp the tube for transfusion 3 of intestinal nutrient solution bag 2 and the nutritional solution in pipe is heated by heating pipe clamp 1, and can automatic temp limit, be unlikely to heating-up temperature too high.But due to this heat booster, can only to be folded in certain of tube for transfusion a bit of upper, can only heat this sandwiched section, and the length of tube for transfusion is longer, therefore, only can have following defect in the heating of certain a bit of position:
1, cannot effectively control the suitable temperature that enters intranasal nutritional solution, when sandwiched heats the words of position away from nostril place, turn cold Deng entering intranarial nutritional solution, when sandwiched heats the words of position near nostril place, entering intranarial nutritional solution again may be too boiling hot, and the high risk that can increase patient skin scald of heat booster self temperature;
2, only have the heating-up temperature of heat booster is limited, and without the actual measurement to solution temperature, cannot effectively manipulate nutritional solution actual temperature;
3, in pipe, nutritional solution is flow regime, and only, to a bit of heating of tube for transfusion, its heats is not good, cannot arrive temperature required;
4, sandwiched heats position entirely with artificial experiential operating, comparatively random, makes the solution temperature that enters intranasal more cannot obtain unified, reasonably control.
Utility model content
For the above-mentioned shortcoming existing in prior art, the purpose of this utility model is to provide a kind of clinical enteral nutrition attemperating unit of using, and can rationally heat nutritional solution, reaches a preference temperature while making it to enter human body.
For achieving the above object, this utility model adopts following technical scheme:
A kind of clinical enteral nutrition attemperating unit of using, comprise for the heating bag of accommodating intestinal nutrient solution bag, for wearing heating tube and the automatic thermostat of tube for transfusion of nutritional solution bag lower end, heating bag upper end is provided with closeable loading port, heating bag is designed to two-layer, internal layer is zone of heating, skin is heat-insulation layer, and on heating bag, is also provided with the first temperature sensor in order to solution temperature in real-time detection nutritional solution bag; Heating tube is connected in heating bag lower end, and heating tube is also designed to two-layer, and internal layer is zone of heating, and skin is heat-insulation layer, is also provided with the second temperature sensor in order to solution temperature in real-time detection tube for transfusion on heating tube; The input of automatic thermostat is respectively at first, second temperature sensor electrical connection, in order to the temperature signal of first, second temperature sensor output of real-time reception, the outfan of automatic thermostat is respectively at the zone of heating electrical connection of heating bag and heating tube, in order to carry out temperature automatically controlled to the zone of heating of heating bag and heating tube respectively.
Described heating tube tail end has a chute vertically, and described the second temperature sensor is slided and is located in this chute, detects apart from entering solution temperature in the pipe at 20cm place, nose position in order to real-time by sliding axially.
In the second described temperature sensor, be also provided with to cover the insulation catch of chute.
In described zone of heating, be equipped with heater strip or heated solution.
Described loading port adopts the closing structure of snapper or slide fastener.
In technique scheme, the clinical enteral nutrition attemperating unit of using of the present utility model, respectively the nutritional solution in nutritional solution bag and tube for transfusion is heated by heating bag and heating tube, and by first, the second temperature sensor is carried out thermometric to the nutritional solution in bag and in pipe respectively, respectively heating bag and heating tube are carried out to temperature control by automatic thermostat according to recording actual temperature again, make a bag interior solution temperature remain at 22~24 DEG C, avoid nutritional solution rotten, and make to flow through and reach 39 DEG C into the solution temperature at nose place, thereby intestinal nutrient solution is being ensured in the non-destructive situation of nutritional labeling, enter the temperature temperature in clinical demand all the time of patient's intranasal, comfortable while making patient treatment, reduce untoward reaction, promote the absorption of Patients with Enteral Nutrition liquid, have simple in structure, the plurality of advantages such as easy to use and temperature is controlled.
Brief description of the drawings
Fig. 1 is the using state schematic diagram of the transfusion heater in patients undergoing of the automatic temp limit of prior art;
Fig. 2 is the clinical using state schematic diagram with enteral nutrition attemperating unit of the present utility model;
Fig. 3 is the structural representation of the second temperature sensor of the present utility model;
Fig. 4 is the axial cutaway view of Fig. 3.
Detailed description of the invention
Further illustrate the technical solution of the utility model below in conjunction with drawings and Examples.
Refer to shown in Fig. 2, of the present utility modelly clinically mainly comprise that with enteral nutrition attemperating unit a heating bag 10 for accommodating intestinal nutrient solution bag 2, is for wearing heating tube 20 and an automatic thermostat 30 of tube for transfusion 3 of nutritional solution bag 2 lower ends, heating bag 10 upper ends are provided with closeable loading port 11, heating bag 10 can be designed to two-layer, internal layer is zone of heating 12, skin is heat-insulation layer 13, and on heating bag 10, is also provided with the first temperature sensor 14 in order to real-time detection nutritional solution bag 2 interior solution temperatures; Heating tube 20 is connected in heating bag 10 lower ends, and heating tube 20 is also designed to two-layer, and internal layer is zone of heating 22, and skin is heat-insulation layer 23, is also provided with the second temperature sensor 21 in order to real-time detection tube for transfusion 3 interior solution temperatures on heating tube 20; The input of automatic thermostat 30 is electrically connected respectively at first, second temperature sensor 21, the temperature signal of exporting in order to first, second temperature sensor 21 of real-time reception, the outfan of automatic thermostat 30 is respectively at zone of heating 12,22 electrical connections of heating bag 10 and heating tube 20, carry out temperature automatically controlledly in order to the zone of heating 12,22 to heating bag 10 and heating tube 20 respectively, make nutritional solution in bag interior nutritional solution and pipe reach respectively required temperature.
Shown in Fig. 3~Fig. 4, described heating tube 20 tail ends have a chute 24 vertically, described the second temperature sensor 21 is slided and is located in this chute 24, detects apart from entering solution temperature (L=20cm) in the pipe at 20cm place, nose position in order to real-time by sliding axially.And in the second described temperature sensor 21, be also provided with to cover the insulation catch 25 of chute 24, in the time that the second temperature sensor 21 is slided, thereby can cover to this chute 24 effect of playing insulation all the time.And the first temperature sensor 14 can be arranged at bottom or other positions of heating bag 10.
In described zone of heating 12,22, be equipped with the heating facility such as heater strip or heated solution (as supersaturated solution sodium acetate), by automatic thermostat 30 heating of controlling, switch on.Described heat-insulation layer 13 can adopt the organic materials such as aluminium foil to make, and plays good thermal insulation function.
In addition, described loading port 11 can adopt the closing structures such as snapper 15 (shown in Fig. 2) or slide fastener, conveniently packs closing seam into.
Adopt the clinical Temp. control method carrying out with enteral nutrition attemperating unit of the present utility model, comprise the following steps:
A. intestinal nutrient solution bag 2 is placed in the clinical heating bag 10 with enteral nutrition attemperating unit, and the tube for transfusion of nutritional solution bag 23 is passed to heating tube 20, connect in the rear insertion patient of gastrointestinal tract 4 nostril;
B. make attemperating unit energising, zone of heating 12,22 by heating bag 10 and heating tube 20 heats the intestinal nutrient solution in nutritional solution bag 2 and tube for transfusion 3 respectively, and by the first temperature sensor 14, the temperature of the nutritional solution in nutritional solution bag 2 is detected in real time;
C. the second temperature sensor 21 is moved axially and is adjusted to apart from entering 20cm place, nose position along chute 24, and the nutritional solution at this place that flows through is carried out to real time temperature measurement;
D. receive the measured temperature of first, second temperature sensor 21 by automatic thermostat 30, and according to record temperature respectively to heating bag 10, add thermal control.
In step D, the thermal control that specifically adds of described automatic thermostat 30 comprises:
When the temperature recording when the first temperature sensor 14 reaches 24 DEG C, control heating bag 10 and stop heating; The temperature recording when the first temperature sensor 14 during lower than 22 DEG C, is controlled heating bag 10 and is heated, thereby the solution temperature in nutritional solution bag 2 is controlled within the scope of 22~24 DEG C.So, solution temperature in bag can be remained to 22~24 DEG C, avoid too high or too low for temperature and cause the composition loss of nutritional solution, even lose efficacy.
When the temperature recording when the second temperature sensor 21 reaches 80 DEG C, control heating bag 10 and stop heating; The temperature recording when the second temperature sensor 21 during lower than 80 DEG C, controls heating bag 10 and stop heating, thereby the temperature while making nutritional solution flow to naris position is down to 39 DEG C of left and right.Principle: by repeatedly repeatedly clinical trial acquire, in the time flowing to the solution temperature that enters 20cm place, nose position apart from tube for transfusion 3 and reach 80 DEG C, when flowing to again into nose position, solution temperature can be down to 39 DEG C of left and right naturally, this temperature is verified is the optimum temperature entering in patient body, can ensure in the situation of not loss of nutrient composition, enter in patient body after comfort level the best, untoward reaction minimum, and can effectively promote the absorption of intestinal nutrient solution.In addition, due to human body difference, gastrointestinal tract 4 inserts the intranarial length of each patient and differs, the length of staying outside nose also differs, therefore, by the second temperature sensor 21 detection positions are designed to adjustable mode, thereby can ensure that the second temperature sensor 21 can be adjusted at all the time apart from entering 20cm place, nose position carries out thermometric.
In addition, it should be noted that, due to the state of the nutritional solution in tube for transfusion 3 in rapid flow, therefore its time that reaches 80 DEG C not long, very soon can be before nose the cooling of 20cm position, therefore can not damage its nutritional labeling, impact is little.And for the nutritional solution in heating bag 10, because it is all the time in long-time relatively static state, therefore temperature must be controlled within the scope of lower and suitable 22~24 DEG C, otherwise can impact nutritional solution.
In sum, adopt the clinical enteral nutrition attemperating unit of using of the present utility model, there is following advantage:
1, attemperating unit is simple in structure, easy to use, automatic precisely, temperature is controlled;
2, can be in the situation that ensureing not loss of nutritional labeling, the temperature temperature in clinical demand all the time that enters patient's intranasal;
3, comfortable while making patient treatment, reduce untoward reaction, promote effective absorption of Patients with Enteral Nutrition liquid.
Those of ordinary skill in the art will be appreciated that, above embodiment is only for this utility model is described, and be not used as restriction of the present utility model, as long as within the scope of connotation of the present utility model, variation, modification to the above embodiment all will drop within the scope of claims of the present utility model.

Claims (5)

1. the clinical enteral nutrition attemperating unit of using, is characterized in that:
Comprise for the heating bag of accommodating intestinal nutrient solution bag, for wearing heating tube and the automatic thermostat of tube for transfusion of nutritional solution bag lower end, heating bag upper end is provided with closeable loading port, heating bag is designed to two-layer, internal layer is zone of heating, skin is heat-insulation layer, and on heating bag, is also provided with the first temperature sensor in order to solution temperature in real-time detection nutritional solution bag; Heating tube is connected in heating bag lower end, and heating tube is also designed to two-layer, and internal layer is zone of heating, and skin is heat-insulation layer, is also provided with the second temperature sensor in order to solution temperature in real-time detection tube for transfusion on heating tube; The input of automatic thermostat is respectively at first, second temperature sensor electrical connection, in order to the temperature signal of first, second temperature sensor output of real-time reception, the outfan of automatic thermostat is respectively at the zone of heating electrical connection of heating bag and heating tube, in order to carry out temperature automatically controlled to the zone of heating of heating bag and heating tube respectively.
2. the clinical enteral nutrition attemperating unit of using as claimed in claim 1, is characterized in that:
Described heating tube tail end has a chute vertically, and described the second temperature sensor is slided and is located in this chute, detects apart from entering solution temperature in the pipe at 20cm place, nose position in order to real-time by sliding axially.
3. the clinical enteral nutrition attemperating unit of using as claimed in claim 2, is characterized in that:
In the second described temperature sensor, be also provided with to cover the insulation catch of chute.
4. the clinical enteral nutrition attemperating unit of using as claimed in claim 1, is characterized in that:
In described zone of heating, be equipped with heater strip or heated solution.
5. the clinical enteral nutrition attemperating unit of using as claimed in claim 1, is characterized in that:
Described loading port adopts the closing structure of snapper or slide fastener.
CN201420238168.1U 2014-05-09 2014-05-09 Clinical enteral nutrition temperature control device Withdrawn - After Issue CN203898752U (en)

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Application Number Priority Date Filing Date Title
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Publication Number Publication Date
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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103932893A (en) * 2014-05-09 2014-07-23 上海市普陀区人民医院 Device and method for clinical enteral nutrition temperature control
CN104667415A (en) * 2015-02-12 2015-06-03 苏州新区明基高分子医疗器械有限公司 Cyclic heating stomach tube
CN106074178A (en) * 2016-08-04 2016-11-09 中国人民解放军第三军医大学第三附属医院 A kind of department of pediatrics special nutrient fluid injection device
WO2020037709A1 (en) * 2018-08-23 2020-02-27 施海燕 Clinical enteral nutrition temperature control device and method
CN111135094A (en) * 2020-01-17 2020-05-12 吉林大学第一医院 Severe cardiovascular system disease patient nurses with taking medicine and advance liquid food device

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103932893A (en) * 2014-05-09 2014-07-23 上海市普陀区人民医院 Device and method for clinical enteral nutrition temperature control
CN103932893B (en) * 2014-05-09 2015-12-16 上海市普陀区人民医院 Clinical enteral nutrition attemperating unit and method
CN104667415A (en) * 2015-02-12 2015-06-03 苏州新区明基高分子医疗器械有限公司 Cyclic heating stomach tube
CN106074178A (en) * 2016-08-04 2016-11-09 中国人民解放军第三军医大学第三附属医院 A kind of department of pediatrics special nutrient fluid injection device
WO2020037709A1 (en) * 2018-08-23 2020-02-27 施海燕 Clinical enteral nutrition temperature control device and method
CN111135094A (en) * 2020-01-17 2020-05-12 吉林大学第一医院 Severe cardiovascular system disease patient nurses with taking medicine and advance liquid food device
CN111135094B (en) * 2020-01-17 2022-06-14 吉林大学第一医院 Severe cardiovascular system disease patient nurses with taking medicine and advance liquid food device

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C14 Grant of patent or utility model
GR01 Patent grant
AV01 Patent right actively abandoned

Granted publication date: 20141029

Effective date of abandoning: 20151216

C25 Abandonment of patent right or utility model to avoid double patenting